Individual
JOHN A. SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2602 BUFORD RD, RICHMOND, VA 23235-3422
(804) 272-8806
(804) 272-2909
Mailing address
PO BOX 13343, RICHMOND, VA 23225-0343
(804) 272-8806
(804) 272-2909
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101054495
VA
2085R0202X
Diagnostic Radiology Physician
200200807
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131H2
BCBS OF NC
NC
01
—
153000500
DOL
NC
01
—
156354
VYTRA
NC
01
—
760158
MAMSI
NC
05
—
89131H2
—
NC
01
—
C7415
MEDCOST
NC
Enumeration date
11/17/2005
Last updated
10/08/2012
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